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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PARK NICOLLET CLINIC

Active Organization

PARK NICOLLET CLINIC is a Family Medicine organization located in ST LOUIS PARK, Minnesota. NPI 1063897593 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ST LOUIS PARK, MN

Registration Details

NPI Number
1063897593
Provider Type
Organization
NPI Issued
Jul 27, 2015 (11.074566291081 yrs)
Last Updated
Oct 25, 2021

Practice Information

Address
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN, 554162527
Browse MN providers · Browse ZIP 55416
Phone
9529933123
Fax
9529932770
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Pediatrics
Additional Specialty
Family Medicine

Other Family Medicine Organizations in ST LOUIS PARK, MN

Name NPI
PARK NICOLLET CLINIC 1780621904
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.